Provider Demographics
NPI:1346354057
Name:JC MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:JC MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:CALERO-QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-517-0565
Mailing Address - Street 1:42 NW 27TH AVE
Mailing Address - Street 2:SUITE 307C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5127
Mailing Address - Country:US
Mailing Address - Phone:786-517-0565
Mailing Address - Fax:786-517-0575
Practice Address - Street 1:42 NW 27TH AVE
Practice Address - Street 2:SUITE 307C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5127
Practice Address - Country:US
Practice Address - Phone:786-517-0565
Practice Address - Fax:786-517-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5967400001Medicare NSC